Table 3.
Summary of Response to B Cell Depletion Therapy and Outcome
Patient | CK prior to therapy (IU/l) | Highest prednisone dose (mg/day) | Previous treatments | Doses of B cell depletion therapy | Lowest prednisone dose post therapy (mg/day) | Lowest CK post therapy (IU/l) | Outcome post B cell depletion and duration of remission |
---|---|---|---|---|---|---|---|
1 | 2710 | 60 | AZA, MTX | 1000 mg IV × 2 doses | 20 | 622 | Decline in CK and improvement in strength for 10 months |
2 | 1000 | 160 | MTX, AZA, IVIg, Plasma exchange | 1000 mg IV × 4 doses | 5 | 163 | Normalization of CK and improvement in strength for 18 months |
3 | 550 | 40 | MTX, AZA, IVIg, MMF | 1000 mg IV × 5 doses | 15 | 126 | Normalization of CK and improvement in strength for 19 months |
4 | 1063 | 80 | IVIg, Plasma exchange | 1000 mg IV × 1 dose | 50 | 22 | No outcome data; died 1 month later from pneumonia and CHF |
5 | 2900 | 80 | MTX, IVIg | 1000 mg IV × 4 doses | 10 | 963 | Decline in CK for 12 months, re- dosed for increased CK |
6 | 2100 | 60 | MTX, MMF, IVIg | 1000 mg IV × 2 doses | 30 | 1144 | Improvement in strength and decline in CK for 9 months |
7 | 1250 | 60 | MTX, MMF | 1000 mg IV × 1 dose | N/A | 1080 | Decline in CK for 5 months |
8 | 3110 | 60 | AZA, MTX, IVIg, plasma exchange | 1000 mg IV × 2 doses | 15 | 2100 | Modest decline in CK after 6 months with persistent proximal lower extremity weakness |
Key: CK=creatinine kinase; MTX=methotrexate; AZA=azathioprine; IVIg=intravenous immunoglobulin; MMF=mycophenylate mofetil; N/A = information not available